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Emergency medicine point-of-care ultrasonography: a national needs assessment of competencies for general and expert practice

Published online by Cambridge University Press:  11 February 2015

Lisa M. Fischer ,
Michael Y. Woo ,
A. Curtis Lee ,
Ray Wiss ,
Steve Socransky  and
Jason R. Frank
Lisa M. Fischer*
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, ON
Michael Y. Woo
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, ON
A. Curtis Lee
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, ON
Ray Wiss
Affiliation:
The Department of Emergency Medicine, Health Sciences North, Northern Ontario School of Medicine, Sudbury, ON
Steve Socransky
Affiliation:
The Department of Emergency Medicine, Health Sciences North, Northern Ontario School of Medicine, Sudbury, ON
Jason R. Frank
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa, ON
*
Correspondence to: Dr. Lisa M. Fischer, 1053 Carling Avenue, Room EM-206, Box 227, Ottawa, ON K1Y 4E9; lisadfischer@gmail.com.

Abstract

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Introduction

Emergency medicine point-of-care ultrasonography (EM-PoCUS) is a core competency for residents in the Royal College of Physicians and Surgeons of Canada and College of Family Physicians of Canada emergency medicine (EM) training programs. Although EM-PoCUS fellowships are currently offered in Canada, there is little consensus regarding what training should be included in a Canadian EM-PoCUS fellowship curriculum or how this contrasts with the training received in an EM residency.

Objectives

To conduct a systematic needs assessment of major stakeholders to define the essential elements necessary for a Canadian EM-PoCUS fellowship training curriculum.

Methods

We carried out a national survey of experts in EM-PoCUS, EM residency program directors, and EM residents. Respondents were asked to identify competencies deemed either nonessential to EM practice, essential for general EM practice, essential for advanced EM practice, or essential for EM-PoCUS fellowship trained (‘‘expert’’) practice.

Results

The response rate was 81% (351 of 435). PoCUS was deemed essential to general EM practice for basic cardiac, aortic, trauma, and procedural imaging. PoCUS was deemed essential to advanced EM practice in undifferentiated symptomatology, advanced chest pathologies, and advanced procedural applications. Expert-level PoCUS competencies were identified for administrative, pediatric, and advanced gynecologic applications. Eighty-seven percent of respondents indicated that there was a need for EM-PoCUS fellowships, with an ideal length of 6 months.

Conclusion

This is the first needs assessment of major stakeholders in Canada to identify competencies for expert training in EM-PoCUS. The competencies should form the basis for EM-PoCUS fellowship programs in Canada.

Résumé

Introduction

L’échographie pratiquée au point de service en médecine d’urgence (EPS-MU) est une compétence de base pour les résidents inscrits aux programmes de formation en médecine d’urgence (MU) du Collége royal des médecins et chirurgiens du Canada et du Collége des médecins de famille du Canada. Bien que des bourses de recherche soient offertes en EPS-MU au Canada, il existe un faible consensus quant á la formation á inclure dans un programme d’études postdoctorales en la matiére ou quant á la différence de contenu entre cette derniére formation et celle donnée dans les programmes de résidence en MU.

Objectif

L’étude visait á procéder á une évaluation méthodique des besoins des principaux intervenants afin de définir les éléments essentiels d’un programme canadien de formation postdoctorale en EPS-MU.

Méthode

Une enqueˆ te nationale a été menée parmi les spécialistes en EPS-MU, les directeurs de programme de résidence en MU et les résidents en MU. Les répondants devaient indiquer les compétences jugées non essentielles en MU, essentielles en MU générale, essentielles en MU avancée et essentielles en EPS-MU (degré d’«expert»).

Résultats

Le taux de réponse a atteint 81% (351 répondants sur 435). L’EPS a été jugée essentielle en MU générale dans les cas d’imagerie de base pour des troubles cardiaques, des lésions de l’aorte, des traumas et des interventions; l’EPS a été jugée essentielle en MU avancée dans les cas de symptoˆ mes indifférenciés, d’affections thoraciques rendues á un stade avancé ainsi que dans des applications interventionnelles avancées. Les compétences spécialisées en EPS ont été réservées á des fins administratives et á des applications pédiatriques et gynécologiques avancées. Enfin, 87% des répondants ont indiqué qu’il y avait des besoins en matiére de formation postdoctorale en EPS-MU, d’une durée idéale de 6 mois.

Conclusions

Il s’agit lá de la premiére évaluation des besoins des principaux intervenants au Canada visant á cerner les compétences á acquérir dans la formation spécialisée en EPS-MU. Ces compétences devraient former les assises des programmes d’études postdoctorales en EPSMU, au Canada.

Keywords

educationemergency medicinepoint-of-care ultrasonography
Type
Education
Information
Canadian Journal of Emergency Medicine , Volume 17 , Issue 1 , January 2015 , pp. 74 - 88
Copyright
Copyright © Canadian Association of Emergency Physicians 2014 

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